Stroke and Obstructive Sleep Apnea: A Review

被引:30
作者
Barone, Daniel A. [1 ]
Krieger, Ana C. [1 ,2 ,3 ]
机构
[1] Cornell Univ, Weill Cornell Med Coll, Ctr Sleep Med, Dept Neurol, New York, NY 10065 USA
[2] Cornell Univ, Weill Cornell Med Coll, Ctr Sleep Med, Dept Med, New York, NY 10065 USA
[3] Cornell Univ, Weill Cornell Med Coll, Ctr Sleep Med, Dept Med Genet, New York, NY 10065 USA
关键词
Stroke; Sleep apnea; Obstructive sleep apnea; Thrombosis; Cardiovascular disease; Cerebrovascular disease; POSITIVE AIRWAY PRESSURE; RISK-FACTOR; ISCHEMIC-STROKE; ATRIAL-FIBRILLATION; CEREBRAL AUTOREGULATION; CARDIOVASCULAR-DISEASE; MYOCARDIAL-INFARCTION; INTERMITTENT HYPOXIA; BREATHING DISORDERS; INSULIN-RESISTANCE;
D O I
10.1007/s11883-013-0334-8
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Obstructive sleep apnea (OSA) has been found to be an independent risk factor for stroke in large epidemiological studies. The mechanisms underlying this relationship have been investigated over the past 2-3 decades, with a particular focus on identifying pathophysiological pathways and risk modification strategies. Despite the advancements made, the specific understanding of the implicated mechanisms is still limited. This brief review focuses on presenting some of the epidemiological evidence of the linkage between OSA and stroke, discussing mechanistic pathways and the potential effect of OSA treatment in modulating the risk for stroke in these patients. Future directions for research in this field are also discussed.
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页数:7
相关论文
共 99 条
  • [1] Interaction between Sleep-Disordered Breathing and Acute Ischemic Stroke
    Ahn, Seong Hwan
    Kim, Jin Ho
    Kim, Dong Uk
    Choo, In Seong
    Lee, Hyun Jin
    Kim, Hoo Won
    [J]. JOURNAL OF CLINICAL NEUROLOGY, 2013, 9 (01): : 9 - 13
  • [2] Continuous Positive Airway Pressure Treatment Reduces Mortality in Patients with Ischemic Stroke and Obstructive Sleep Apnea A 5-Year Follow-up Study
    Angel Martinez-Garcia, Miguel
    Jose Soler-Cataluna, Juan
    Ejarque-Martinez, Laura
    Soriano, Youssef
    Roman-Sanchez, Pilar
    Barbe Illa, Ferran
    Montserrat Canal, Josep Maria
    Duran-Cantolla, Joaquin
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2009, 180 (01) : 36 - 41
  • [3] [Anonymous], AASM MANUAL SCORING
  • [4] Association of sleep-disordered breathing and the occurrence of stroke
    Arzt, M
    Young, T
    Finn, L
    Skatrud, JB
    Bradley, TD
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2005, 172 (11) : 1447 - 1451
  • [5] Beelke M, 2002, SLEEP, V25, P856
  • [6] Prevalence of sleep-disordered breathing in women - Effects of gender
    Bixler, EO
    Vgontzas, AN
    Lin, HM
    Ten Have, T
    Rein, J
    Vela-Bueno, A
    Kales, A
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2001, 163 (03) : 608 - 613
  • [7] Wake-up stroke and TIA due to paradoxical embolism during long obstructive sleep apnoeas: a cross-sectional study
    Ciccone, Alfonso
    Proserpio, Paola
    Roccatagliata, Daria Valeria
    Nichelatti, Michele
    Gigli, Gian Luigi
    Parati, Gianfranco
    Lombardi, Carolina
    Pizza, Fabio
    Cirignotta, Fabio
    Santilli, Ignazio Michele
    Silani, Vincenzo
    Sterzi, Roberto
    Nobili, Lino
    [J]. THORAX, 2013, 68 (01) : 97 - 104
  • [8] Case-control study of 24 hour ambulatory blood pressure in patients with obstructive sleep apnoea and normal matched control subjects
    Davies, CWH
    Crosby, JH
    Mullins, RL
    Barbour, C
    Davies, RJO
    Stradling, JR
    [J]. THORAX, 2000, 55 (09) : 736 - 740
  • [9] Diagnosis and treatment of obstructive sleep apnea in a stroke rehabilitation unit - A feasibility study
    Disler, P
    Hansford, A
    Skelton, J
    Wright, P
    Kerr, J
    O'Reilly, J
    Hepworth, J
    Middleton, S
    Sullivan, C
    [J]. AMERICAN JOURNAL OF PHYSICAL MEDICINE & REHABILITATION, 2002, 81 (08) : 622 - 625
  • [10] Early signs of atherosclerosis in obstructive sleep apnea
    Drager, LF
    Bortolotto, LA
    Lorenzi, MC
    Figueiredo, AC
    Krieger, EM
    Lorenzi, G
    [J]. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2005, 172 (05) : 613 - 618